Hi all, As we are expanding our BMV units to the ED and housewide, we are dealing with an issue that Meditech says hasn't really been an issue for others, and were wondering if you have encountered the following and how you deal with it. An med order will typically be for the largest size tablet which matches the dose size, let's say 80 mg of drug X BID. We stock drug X in 80mg, 40mg, and 20mg sizes. The pyxis machine that the user is withdrawing the med from (or the main PHA sending the med), might not stock the 80mg tablet in that location, or might be out of the 80mg tablet, etc. and the nurse might need to pull 2 40mg tabs to make up the ordered dose. Meditech says that the answer is to re-profile the order in whatever sizes are stocked by the particular area, but as you can imagine, that would be a never-ending task in a 450 bed hospital. We are looking for some type of equivalency setting so that we can tell the system that 80mg of drug X = 2*40mg tabs = 4*20mg tabs, and if the barcodes on any of these are scanned, it should understand that it is still med X, but that a different # of tablets would need to be scanned. Any thoughts? TIA, Carole Weinstein IS Analyst, The Valley Hospital
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